healthcosts.net
Cath cv dl inj 7fx16cm at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$10,690.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$17,818.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$0.90 with Aetna vs $1,272.93 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $0.90 | ↓ -100% |
| Aetna | Medicare | $1.25 | ↓ -100% |
| Highmark BCBS of PA | Medicare Advantage | $2.50 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.50 | ↓ -100% |
| Highmark BCBS of PA | Managed Care | $2.55 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2.55 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $2.65 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2.65 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $2.75 | ↓ -100% |
| Preferred Healthcare System | PPO | $3.25 | ↓ -100% |
| Coventry/First Health | Commercial | $3.50 | ↓ -100% |
| Fidelis | Medicare | $3.75 | ↓ -100% |
| InterGroup | InterGroup Services Corporation | $3.75 | ↓ -100% |
| Health Coalition Partners | Intergroup | $4.00 | ↓ -100% |
| Multiplan | PPO | $4.00 | ↓ -100% |
| Private Health Care Systems | PPO | $4.00 | ↓ -100% |
| SelectCare | Commercial | $4.00 | ↓ -100% |
| Health Payors Organization | Commercial | $4.25 | ↓ -100% |
| Humana | Commercial | $4.25 | ↓ -100% |
| InterGroup | Approved National Affiliated PPO Business | $4.25 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $5.10 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.40 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.80 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.60 | ↓ -100% |
| Aetna | First Health | $60.00 | ↓ -99% |
| UPMC Health Plan | Commercial | $1,272.93 | ↓ -88% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Cath cv dl inj 7fx16cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,865.60 | $6.75 – $621.69 |
| UPMC Passavant-McCandless | Pittsburgh | $1,887.00 | $1.00 – $1,142.48 |
| UPMC St. Margaret | Pittsburgh | $2,257.80 | $6.75 – $966.08 |
| UPMC Muncy | Muncy | $532.80 | $9.15 – $54.90 |
| UPMC Northwest | Seneca | $670.80 | $54.75 – $952.71 |
| UPMC Somerset | Somerset | $2,185.20 | $21.80 – $471.57 |
| UPMC Wellsboro | Wellsboro | $1,068.80 | $4.28 – $59.47 |
| UPMC Williamsport | Williamsport | $1,059.00 | $7.02 – $64.40 |